Nutritional status of highland and lowland children in Ecuador

J Trop Pediatr. 2013 Feb;59(1):3-9. doi: 10.1093/tropej/fms032. Epub 2012 Jul 2.

Abstract

We assessed the nutritional status of children in Ecuador using anthropometric measurements and body composition.

Objectives: To determine whether living in the highlands in Quito was a predisposing factor to poor nutrition in children.

Method: We compared the children in highlands at 2772 m above sea level with their costal (605 m above sea level) counterparts at Santo Domingo de Los Colorados. By using the WHO standard reference 2007, we distinguished malnourished children from healthy children using Z-score of -2 as a cut-off point.

Results: Mean Z-score indices for both height-for-age (HFA) and weight-for-age (WFA) were found to be significantly lower among urban children than for rural children (p < 0.001). Urban children were also four times more likely of becoming mildly stunted (OR = 3.95%, 95% confidence interval (CI): 1.818-8.448) and three times more likely of being mildly underweight (OR = 3.95%, 95% CI: 1.241-7.551).

Conclusion: Living in highland urban areas of Ecuador is a predisposing factor for poor nutrition among children.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Altitude*
  • Body Composition*
  • Body Height*
  • Body Mass Index
  • Body Weight*
  • Child
  • Child, Preschool
  • Ecuador
  • Electric Impedance
  • Female
  • Humans
  • Infant
  • Logistic Models
  • Male
  • Nutrition Surveys
  • Nutritional Status*
  • Rural Population
  • Skinfold Thickness
  • Socioeconomic Factors
  • Urban Population